Helpful Forms

If you are a new client, please complete the following forms and bring them to your first therapy session.
If you are unable to print and complete them, please call me and I will email or mail them to you, or make arrangements for you to complete them prior to the first appointment.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

For your information, the Notice of Privacy Practices is available for your review.  You may print a copy of this if you would like it.


Note: To download Adobe Acrobat Reader for free, click here .

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